Causes Of Deaths And Risk Factors With Critically Ill Patients In Intensive Care Unit Of General Hospital Of Ningxia Medical University

Objective：ICU of General Hospital of Ningxia Medical University wereretrospectively analyzed in2011,2012,2013total mortality, death in patientswith age and sex distribution characteristics, at the same time, Statisticsfor assessing proportion of dying of a specific cause, summarizes the intensivecare unit patients mortality and cause of death, sex and age, observe theepidemiological characteristics of admitted to our hospital ICU patients. Aswell as of January1,2012to December31cases of income related indexes wereanalyzed, and the related risk factors for the prognosis of patients withaffecting, patients of assessment, specify the reasonable treatment scheme hasguiding significance.Methods： Collection of Ningxia Medical University General HospitalICU2011-2013death cases,507cases of patients, calculation for nearly threeyears total mortality, death in patients with age and sex distribution, fatalityrate according to the ICD-10international statistical classification ofdiseases and related health problems, and calculate the cause of death inpatients with death ratio, age structure, sex ratio. In2012January1to December31, income age greater than or equal to14,1562cases,the age, sex, ICU lengthof stay, mechanical ventilation time, temperature and PH, PCO2, P02, lacticacid, blood glucose, ALT, albumin, creatinine, body temperature, presence ornot of invasive diagnosis (deep venipuncture, urine tube, stomach tube, drainage tube, parenteral nutrition) factors on admission were retrospectively analyzed,and all cases were APACHII score, GCS score, trauma patients with injury severityscore (ISS score). Compare the survival group and death group related factors.Results：During2011-2013of4531cases with ICU total income,507casesof death, total mortality was11.19%. From2011to2013, Case fatality raterespectively,11.34%,10.95%,11.29%, the fatality rate in three years therewas no significant change. ICU deaths during3years, a total of507cases,326cases of male, female181cases, male to female ratio is1.8:1. Higher riskof death for40to50years old respectively, case fatality rate17%; Age60-80,the case fatality rate40.4%.507death cases,133cases of death within24hours, accounted for26.2%of all deaths in the first peak of death. Among them,140people die in trauma patients, the case fatality rate was27.6%, as thefirst; Followed by bacterial disease, circulatory system, respiratory system,digestive system, tumor and other, case fatality rate respectively:20.5%,18.3%,15.2%,10.1%,4.9%and3.4%. Revenue in our hospital ICU,2012,1562cases ofpatients with age greater than or equal to14one full year of life,171casesof death, the survival group and death group of related factors in single factorstatistical analysis it is concluded that: Live time of ICU negative correlationwith mortality, ICU time death group live time of ICU is obviously less thansurvival; APACHII score, ALT levels, serum lactic acid level, serum creatinine,mechanical ventilation time and MODS score significantly higher than thesurvival group in the death group, with statistical significance; PH,concentration of serum calcium, GCS score in the death group was lower thanthat in group survival; Invasive diagnosis and treatment projects in death groupand blood culture positive rate relatively high incidence of survival group.